company logo

Medical Service Manager

SIRKA (YC S21)

Actively hiring 20h ago

No Sign Up Required!

Job Description

  • Determine policy coverage, establish proof of loss with proper documentation and provide accurate and timely assessment of medical claims within the required service standards and ensure that claims are paid accurately and promptly
  • Handle medical report cases and appeals
  • Seek clarifications and liaise with medical institutions and policyholders on outstanding requirements
  • Deliver excellent service and enhance customer and distribution channels relationship management
  • Attend to escalated claims enquiries
  • Suggest and participate in process improvement projects/ initiatives/ system enhancement, including establish claims best practices
  • Ensure compliance with internal and external regulatory and legal matter
  • Any other ad-hoc projects assigned by supervisor
  • Take accountability in considering business and regulatory compliance risks and take appropriate steps to mitigate the risks
  • Maintain awareness of industry trends on regulatory compliance, emerging threats and technologies in order to understand the risk and better safeguard the company
  • Highlight any potential concerns/ risks and proactively share best risk management practices

Requirements

  • Medicine and Clinical Research skills
  • Experience in Medical Affairs and Training
  • Strong research abilities
  • Excellent written and verbal communication skills
  • Ability to work effectively in a team
  • Previous experience in the healthcare or wellness industry is a plus
  • Medical degree
💙

Tips Menjaga Diri

Perusahaan dan Lowongan di Dealls tidak meminta data pribadi, informasi rekening, atau pungutan ketika melamar. Hindari juga lowongan Google Form / Grup Telegram tanpa keabsahan yang jelas.

About SIRKA (YC S21)
Learn More

SIRKA | Diet Coaching App

Sirka is a revolutionary diet coaching application developed by certified doctors, dietitians, and nutritionists. Sirka aims to make healthy living more straightforward and accessible through various features.

Sirka help improves the quality of life of the Indonesian people by giving them access to education and health services that are considered sensitive to be comfortable, personal, and reliable through the curation of scientific evidence.

Wellness Redefined

Find us on IG @sirka.io

Industry
Medicine Healthcare & Wellbeing
Location
Jakarta Selatan, Indonesia
Company Size
50–100 employees